Journal of Acupuncture Research

  • 제32권2호
  • /
  • Pages.87-96
  • /
  • 2015
  • /
  • 2586-288X(pISSN)
  • /
  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지
DOI QR코드

DOI QR Code

이상근 압통을 동반한 요추 추간판 탈출증 환자에 대한 동기침법 효과 비교연구: 후향적 분석연구

A Comparative Study on the Effect of Dong-qi Acupuncture for Lumbar Herniated Intervertebral Disc Patients with Piriformis Muscle Tenderness: A Retrospective Analysis

  • 신유빈 (대전자생한방병원 침구의학과) ;
  • 김상민 (대전자생한방병원 침구의학과) ;
  • 최지훈 (대전자생한방병원 침구의학과) ;
  • 이순호 (대전자생한방병원 침구의학과) ;
  • 박재홍 (삼세한방병원 한방재활의학과)
  • Shin, You Bin (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng of Korean Medicine Hospital) ;
  • Kim, Sang Min (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng of Korean Medicine Hospital) ;
  • Choi, Ji Hoon (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng of Korean Medicine Hospital) ;
  • Lee, Sun Ho (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng of Korean Medicine Hospital) ;
  • Park, Jae Hong (Department of Korean Rehabilitation Medicine, Samse Hospital of Korean Medicine)
  • 투고 : 2015.05.11
  • 심사 : 2015.06.02
  • 발행 : 2015.06.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The purpose of this study was to investigate the clinical effects of Dong-qi acupuncture on piriformis for herniated intervertebral disc(HIVD) of lumbar spine patients with piriformis muscles tenderness. Methods : This research was carried out on the 60 inpatients who received treatment for their HIVD of lumbar spine from January 1 to May 31, 2014 in DaeJeon Jaseng Hospital of Korean Medicine. We divided them into two groups ; group A(n=30) : common treatment on HIVD of L-spine without Dong-qi acupuncture on piriformis(acupuncture, pharmacopuncture, herb medication, Chuna and physiotherapy), and group B(n=30) : common treatment on HIVD of L-spine with Dong-qi acupuncture on piriformis. We evaluated the treatment effect of each group on tenderness(checked by Algometer pressure), and with a numeric rating scale(NRS), and oswestry disability index(ODI). The evaluations of tenderness were performed 8 times : admission day, and on the 3rd, 6th, 9th, 12th, 15th, 18th and 21st day after admission. The evaluations of NRS and ODI were performed 3 times : admission day, and on the 12th and 21st day after admission. The statistical significance was evaluated by SPSS 18.0 for Windows. Results : In group B, tenderness was significantly decreased compared with group A. The difference of tenderness from admission day to the 12th day showed significant reduction compared with group A. Conclusions : Dong-qi acupuncture is more effective in reducing piriformis muscle tenderness in the early stages of treatment. We expect that patients who receive Dong-qi acupuncture will be satisfied with Korean medical treatment and trust their doctor.

키워드

참고문헌

  1. The Korean Orthopaedic Association. Orthopaedics. Seoul : Choisin Medical Books. 2006 : 625.
  2. Suk SI. Spinal surgery. Seoul : Choisin Medical Books. 2004 : 218-47.
  3. Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet. 1973 ; 18(2) : 359-62.
  4. Choi SY. Pain treatment manual 2. Seoul : Shinheung MedScience. 2013 : 104-5.
  5. Sin MS, Roh HD, Choi SW, Lee DH, Song BY, Yook TH. Clinical studies on ruptured intervertebral discs. The Acupuncture. 2001 ; 18(6) : 84-92.
  6. Oh SK. The clinical study on the effect of conservative treatment for patients with herniated intervertebral disc of lumbar spine. The Journal of Korea Chuna Manual Medicine for Spine & Nerves . 2005 ; 6(1) : 41-9.
  7. Ahn MS, Park JS, Kwon YM et al. The relationship between reduction of musculoskeletal pain and quality of life treated with korean traditional medicine. The Acupuncture. 2010 ; 27(5) : 35-42.
  8. Yang WJ. Yangweijiequanji 1. Gyeonggi : Daesung Publishin Co. 2003 : 29-42, 74-5.
  9. Wang WH, Lim JK, Ahn KB, Jang HS, Shin JS. Clinical observations of temporomandibular disorder patients used Dong-qi acupuncture. The Acupuncture. 2001 ; 18(5) : 110-21.
  10. Kim KH, Lim HH, Hwang HS et al. The study of effect and safety related to Dong-gi acupuncture(dga) and complex therapy on lumbago due to blood stasis and sprain. The Acupuncture. 2002 ; 19(3) : 107-14.
  11. Yoon HS, Kims SH, Jeong KS, Park SK, Ahn HJ. The study on the effects of Dong-qi acupuncture therapy for the patient with ankle sprain. The Acupuncture. 2005 ; 22(4) : 65-72.
  12. Yoon WS, Park YJ, Park YB. Dong-qi therapy of Dong-si acupuncture to movement system impairment syndrome of lumbar spine and knee. The Acupuncture. 2013 ; 30(1) : 13-22. https://doi.org/10.13045/kamms.2013002
  13. Lee JY, Lee SW, Kim DH, Koo ST, Lee I. Research trend on the clinical application of Dong-gi acupuncture treatment: focusing on korean and chinese journals. KJOMPP. 2012 ; 26(5) : 599-609.
  14. Kim DH, Yoo YJ, Kim MJ, Choi HH. The effect of manual therapy on piriformis syndrome. Jr of KAOMT. 2000 ; 6(1) : 5-13.
  15. Park WH, Lee SW, Cha YY, We JS. Clinical research on 1 case of piriformis syndrome treated by acupuncture and ischemic compression on piriformis muscle. JORM. 2004 ; 14(1) : 169-76.
  16. Min KS, Lee JH, Kim SY. A clinical report on 3 cases of piriformis syndrome treated with motion style treatment. J Oriental Sports Med. 2010 ; 10(1) : 101-8.
  17. Yun JM. Lee JH. Clinical case study on piriformis syndrome after traffic accident. KJOMPP. 2010 ; 24(5) ; 898-902.
  18. Choi YH, Yoon IJ. A clinical case study on piriformis syndrome with oriental medical treatment and muscle energy techniques. JORM. 2010 ; 20(2) : 209-17.
  19. Ahn SG, Lee SR, Yang YS. The treatise research on Hua-Tuo-Jia-Ji-Xue. The Acupuncture. 2000 ; 17(4) : 139-48.
  20. Jeon CH, Kim DJ, Kim SK, Kim DJ, Lee, HM, Park HJ. Validation in the cross-cultural adaptation of the Korean version of the oswestry disability index. J. Korean Med Sci. 2006 ; 21(6) : 1092-7. https://doi.org/10.3346/jkms.2006.21.6.1092
  21. Lee H, Hwang WJ. The clinical study on the efficiency of the Sa-am acupuncture treatment. The Acupuncture. 1999 ; 16(1) : 1-16.
  22. Weber H. Lumbar disc herniation: a controlled prospective study with ten years of observation. Spine. 1983 ; 8(2) : 131-40. https://doi.org/10.1097/00007632-198303000-00003
  23. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture and Moxibustion Medicine. Gyeonggi : Jipmoondang. 2012 : 5.